Last Thursday, Charlotte finished the last session of her at-home chemo treatment for this cycle. This was the first time we had home health come and deliver chemo. All other times Charlotte has received chemo, it has been up at the oncology clinic at Primary Children's. As predicted, her lovely growth of fuzzy hair has fallen out. Otherwise, she has shown no outward signs of ill effects from the chemo. She did not enjoy being "accessed", the IV tube through which they administer the chemo stayed in her port from Monday to Thursday of last week and the week prior. Charlotte is very protective of her chest whenever she is accessed. She walks with her shoulders hunched forward and her hand carefully holding the dangling IV tube that is about waist level. When you talk to her, she won't straighten to speak back to you, she just turns her head and tilts it upward. With her bald head, hunched back, crooked new teeth and her cheeky grins, she reminds me of the cutest little Igor... I mentioned the likeness to mom, who was properly horrified at her irreverent daughter. But when she came to watch Charlotte while Sean had an appointment elsewhere, she called after and giggled to me that she understood what I was saying.
Charlotte was super happy to be deaccessed on Thursday, and has been running happily around the house. Her CBC showed that her hematocrit was at a 24 last Wednesday. They usually transfuse blood if it is a 20 or below. If she was symptomatic, the clinic nurse offered to transfuse Friday, when she called with the numbers. Symptoms would be headaches, listlessness, lack of energy. Charlotte wasn't displaying any of those, so we agreed to wait until Monday's CBC.
Last night, she was so energetic after her shower, that she streaked naked around the house with me chasing her with her pajamas. She bounces over my bed and giggling when I pretended to yell, "No naked bums on my bed!!!" I was wondering at the time what her blood work would show, because this really WAS NOT listlessness. I had to corral her into bed to get her to sit still and listen to Ramona Quimby - Age 8. She was so amped up, she decided to keep asking questions throughout the chapter. At one point, she grabs the book, flips to the table of contents, and points out that if Ramona is 8, how come her being baptized isn't one of the chapters? Needless to say, reading took a while to finish the chapter.
This morning, the oncology clinic called and let me know that her levels had dropped to a 16 - they wanted us to bring Charlotte up for a blood transfusion. THANKS TO ALL YOU BLOOD DONORS! I feel bad that I'm not allowed to donate because of my years overseas. When asked if Charly was showing symptoms of being so low, I related to the nurse about the previous night's streaking episode. The nurse couldn't stop laughing.
Blood transfusions take a while. First, Charly had to go up to Primary's and get type and crossed. Then they order the blood. The nurse said this takes a couple hours. She suggested that Sean and Charly could go elsewhere while they collected the blood and they would call when it was ready. Then, once Charly returns for her transfusion, it takes an hour or so to receive. Finally, they watch her for 30-40 minutes to see if she develops an allergic reaction to the blood. The more times she receives blood, the more likely it will be she develops a reaction to the blood. By my count, this is her third or fourth transfusion. The others were all back in August of last year. It's almost an all-day time commitment. We'll hear if the docs think there is anything else to be concerned about. Barring complications like today's, Charly will have a 2 week break. She goes back in for another lumbar puncture and round of chemo on Feb 7.
Tuesday, January 22, 2013
Monday, January 7, 2013
Continuing on with Delayed Intensification
Today, Charlotte and I went back to the oncology clinic. It was her first visit since December 20th. We started another phase of "delayed intensification" (days 29-57) I thought we were done with the delayed intensification phase, but it is apparently a multi-step section of treatment.
Charlotte had another lumbar puncture. They returned to using the chemo "Methotrexate" in her spinal fluid. This is the drug they suspect caused the seizure in early November. In speaking with her oncologist, Dr. Barnett seems very confident that she will be fine, as she hasn't received a dose of methotrexate since that time. Whereas, prior to that seizure, she had received about 5 spinal taps in a 8 week period and Methotrexate was administered with each of those spinal taps. He theorizes that she will do fine, because there won't be as much of the drug in her system. Regardless, Sean and I are watching to see if she has another seizure. If she does, they will discontinue Methotrexate and substitute another drug.
Along with her lumbar puncture, they gave her a bag of fluids through her IV and another chemo drug called "Cytoxan". This drug can cause nausea, so they also dosed her with Zofran to help with that. They want us to push fluids today. The Cytoxan (especially at the higher dosages) can cause her bladder to bleed. The nurse stated that what they have to do to fix bleeding bladder is very unpleasant for the kids. Charly isn't receiving a "higher dose", but it can still irritate her bladder, so they gave her a bag of fluids to help her flush it out quickly. She also received a dose of the chemo called "ARA-C" (pronounced ara-see), and given a prescription for a fourth chemo called "Thioguanine". She is supposed to take the Thioguanine nightly for the next couple weeks. Charly is not supposed to eat for a couple hours before the pill and at least an hour after - and not take the pill with milk, as dairy can interfere with it. It will also cause nausea, so they recommend taking it before bedtime, so she will hopefully sleep through her tummy ache. She will take this chemo orally for the next two weeks. We had to fill the Rx for Thioguanine at Primary's Pharmacy, since most pharmacies don't keep it in stock and would have to order it in. I hate filling prescriptions at the hospital, mostly because I'm marching Charlotte through the hallways to go pick it up. There are sick people everywhere in that place! However, that's why we have a mask for her to wear whenever she enters the hospital.
When they finished all the IV meds, they flushed her port, and left her accessed (the tube is still connected to her port and dangling down her front). A home health nurse will come and administer her additional doses of the ARA-C chemo through her IV at home on Tuesday, Wednesday, and Thursday. The nurse will deaccess her port on Thursday. Next Monday, home health will come again to draw blood for a CBC, give her another dose of ARA-C and leave her accessed for three more daily doses of ARA-C. The oncology staff warned that at about day 14, Charlotte's counts will drop again. In anticipation of this, they have a home health nurse scheduled to come every Monday this month to draw blood for a CBC. She may need a blood transfusion or a platelet transfusion if her counts drop low enough. So far, she hasn't needed a transfusion since the first month of chemo.
If Charly is able to maintain her RBC and platelets, she won't go back to the oncology clinic until the beginning of February. Everything will be done at home. They even mentioned that some parents opt to administer the IV medication themselves. The home health nurse will probably talk that over with Sean when she comes tomorrow.
Charlotte had another lumbar puncture. They returned to using the chemo "Methotrexate" in her spinal fluid. This is the drug they suspect caused the seizure in early November. In speaking with her oncologist, Dr. Barnett seems very confident that she will be fine, as she hasn't received a dose of methotrexate since that time. Whereas, prior to that seizure, she had received about 5 spinal taps in a 8 week period and Methotrexate was administered with each of those spinal taps. He theorizes that she will do fine, because there won't be as much of the drug in her system. Regardless, Sean and I are watching to see if she has another seizure. If she does, they will discontinue Methotrexate and substitute another drug.
Along with her lumbar puncture, they gave her a bag of fluids through her IV and another chemo drug called "Cytoxan". This drug can cause nausea, so they also dosed her with Zofran to help with that. They want us to push fluids today. The Cytoxan (especially at the higher dosages) can cause her bladder to bleed. The nurse stated that what they have to do to fix bleeding bladder is very unpleasant for the kids. Charly isn't receiving a "higher dose", but it can still irritate her bladder, so they gave her a bag of fluids to help her flush it out quickly. She also received a dose of the chemo called "ARA-C" (pronounced ara-see), and given a prescription for a fourth chemo called "Thioguanine". She is supposed to take the Thioguanine nightly for the next couple weeks. Charly is not supposed to eat for a couple hours before the pill and at least an hour after - and not take the pill with milk, as dairy can interfere with it. It will also cause nausea, so they recommend taking it before bedtime, so she will hopefully sleep through her tummy ache. She will take this chemo orally for the next two weeks. We had to fill the Rx for Thioguanine at Primary's Pharmacy, since most pharmacies don't keep it in stock and would have to order it in. I hate filling prescriptions at the hospital, mostly because I'm marching Charlotte through the hallways to go pick it up. There are sick people everywhere in that place! However, that's why we have a mask for her to wear whenever she enters the hospital.
When they finished all the IV meds, they flushed her port, and left her accessed (the tube is still connected to her port and dangling down her front). A home health nurse will come and administer her additional doses of the ARA-C chemo through her IV at home on Tuesday, Wednesday, and Thursday. The nurse will deaccess her port on Thursday. Next Monday, home health will come again to draw blood for a CBC, give her another dose of ARA-C and leave her accessed for three more daily doses of ARA-C. The oncology staff warned that at about day 14, Charlotte's counts will drop again. In anticipation of this, they have a home health nurse scheduled to come every Monday this month to draw blood for a CBC. She may need a blood transfusion or a platelet transfusion if her counts drop low enough. So far, she hasn't needed a transfusion since the first month of chemo.
If Charly is able to maintain her RBC and platelets, she won't go back to the oncology clinic until the beginning of February. Everything will be done at home. They even mentioned that some parents opt to administer the IV medication themselves. The home health nurse will probably talk that over with Sean when she comes tomorrow.
Sunday, January 6, 2013
A Tale of Two Cakes
This morning began with the patter of feet running from Charlotte's bedroom to mine. My door is thrown open and Charly is grinning as she peeks to see if I am up. I've been up for an hour reading a book on my iPad. As always, we wave at each other excitedly. I can't think of another way I'd like to wake up. She trots over to the bed. "Good Morning!" I whisper. "Good Morning" Charly sweetly replies. "What else do you say, Mom?" I am not sure, but given her eating demands of late, I figured the next thing Charlotte was looking for was "What do you want for breakfast?"
Charlotte giggled and said "Happy BIRTHday! And yes, I want some breakfast"
Whoops. Yes! Happy Birthday. I spent two hours yesterday making the much-adored Oreo cookie dessert. It's a favorite of the Himle family. Specifically I remember that it was usually produced at my dad's request. All of the 5 kids loved it, as long as there weren't any nasty nuts added to it. But I don't remember seeing it more than a couple times a year. Now that I'm grown, I know why - it's a pain to make. Looking back, it seems to me that Oreo cookie dessert was saved for the special times. Charly has followed in her Grandpa Doug's footsteps. When asked what she wanted for her birthday cake for her 3rd birthday, it was Oreo cake. The same for her 5th. This year, when I asked what she wanted, she reverently replied with stars in her eyes, "Oreo cookie cake!"
A week ago, I mentioned to Ashly that Charly's birthday would be coming up, but based on her lethargy during the Christmas holidays, I wasn't sure she'd be up for a party or anything. I asked if Cooper and Lillie, her most frequent playmates, might be interested in just coming over and having a slice of cake or something on her birthday. On Thursday, when Charlotte's chemo appointment was cancelled because of her low ANC levels, I asked if it would be alright to have a couple friends over to eat a slice of cake. The nurse was very hesitant. I assured her I wasn't planning a party, just sharing cake, blowing candles, and kicking them out right after. "Well, as long as no one is sick, and it's just a quick slice of cake".
Today, Ashly sees me at church and says that Cooper and Lillie are excited to go to Charlotte's party. Seeing my face, she assures me that she knows it isn't a party, and that she has been telling them it is just a slice of cake. Ashly asked if that is still something they should plan on, or they would be happy to drop off her gift if Charly wasn't up to it. I told her I would call her after I spoke with Charlotte. For whatever mysterious reason, Charlotte told me she didn't want anybody to come over. I was going to respect her wishes, but Sean kept asking, "are we going to your moms? are you having somebody come over".
I went home and asked Charlotte one more time. "Charlotte, can we have Cooper and Lillie come over and sing happy birthday and have a slice of cake? They have a present they'd like to give you." Charlotte said "NO! They'll like my cake and want seconds!"
I wish I could accurately recount the discussion that followed. There were raised eyebrows shared by Sean and I. I assured Charlotte that there was plenty of cake, and if it was all eaten, I had ingredients to make another and would happily make her another cake. It was all for naught. I admit, I started to laugh incredulously at how stingy Charlotte was being. She isn't usually like this. I know the steroids is still influencing her appetite and emotions, but usually, she wants to fight over the final pork chop, not over the dessert. I finally asked if I made cupcakes to share if she would be okay with that. YES! Cupcakes would be an acceptable alternative.
So, cupcakes were made and Ashly, Cooper and Lillie joined us. When the time came to sing and eat cake, Charly marched to the freezer. I was shocked, she was going to share her Oreo cake! I leaned over to confirm that was the case. I was wrong. She fully planned to eat her Oreo cake, while Cooper and Lillie were to eat the cupcakes. There was a whispered discussion, in which I told her if she wasn't willing to share the Oreo cake, it was to remain in the freezer. She pulled me back into my bedroom room, shut the door, and furiously negotiated with me. She did NOT want to eat a cupcake, and Cooper and Lillie couldn't eat her Oreo cake. I told her that she did not have to eat a cupcake, but if she wasn't going to share her cake, she would have to wait until after Cooper and Lillie left to eat it. Charlotte agreed and with disaster averted, we returned to the kitchen to sing Happy Birthday with cupcakes. After they left, we pulled out the Oreo cake and sliced four pieces out of the 9x12 pan. Apparently, Sean, Naomi, and I warrant a slice of Oreo dessert. We must be the special people.
Another time, another year, different circumstances I would have stuck to my guns and lectured her on greed and forced her to share the cake. This period of life, this year, I'm going to make two cakes and just be grateful we have a girl to share it with.
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Oreo Cookie Dessert
1 c sugar
1/2 c water
1/3 tsp salt
2 egg whites
2 tsp almond flavoring
1/2 c chopped nuts (optional, you will never find them in mine!)
1 pint heavy whipping cream
food coloring
1 package of Oreo cookies
Boil together: 1 c sugar, 1/2 c water, 1/3 tsp salt. Cook until syrup forms a firm ball when dropped in cold water.
Beat 2 egg whites until stiff. Gradually add the syrup to the egg whites, beating constantly. Cool.
In another bowl, beat 1 pint of heavy whipping cream until it is whipped cream. Add to egg whites 2 tsp almond flavoring and 1/2 c chopped nuts (optional). Add food coloring to mixture (we always use red, which makes it a lovely pink color) Fold together the whip cream and the egg white mixture.
Finely crush 1 package of Oreos. In a 9x12 pan, have 1/2 of crushed Oreo cookies spread on bottom. Spread the pink filling over the crust, filling the pan. Cover the pink filling with the rest of the Oreo crumbs. Cover it and place the pan in the freezer.
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For lack of a better description, it's an ice cream type dessert. I have heard many questions regarding the recipe from those who I've shared it with. Does it have to be pink? My belief is yes.... but I'd still eat it if it was a different color. Does it have to be almond flavoring? Can it be mint? I suppose. I wouldn't eat it. I have heard of cousins who substituted mint for almond. The reported result was a toothpaste flavored cake.
Thursday, December 20, 2012
Last dose for December
Sean took Charly up for her chemo visit today. Apparently, the doctor commented on Charly's ability to retain her hair. Her new growth has been hanging on, and I have been privately wondering when it will decide to fall out. Charly's blood tests show that her immunity levels have decreased from last week, but the doctors warned us this would be the case. Apparently, her levels weren't as low as they anticipated, and they decided they wouldn't schedule a home health nurse to come visit next week to draw blood and check her levels Christmas week. Charly's next chemo visit is January 3rd. She starts a new phase. They will give her a lumbar puncture and a round of chemo through her port. Then they will leave her port accessed and send her home. That means the tube that they use to administer the chemo will remain in her port, covered by Tegaderm - a clear, Saran Wrap-like material. Home health will come to our house the next 3 days, and will administer chemo through her port at home. I'm not looking forward to Charlotte's reaction to going home with her port accessed. She probably will not be very happy. If I read the chart correctly, they do that twice in this next phase.
Charlotte was starving when she got home. She's back on steroids this week, and the nurses told Sean that we will need to feed her high calorie meals. I prepared a roast for the crockpot the night before and had it ready for Sean to put it in the crockpot in the morning (it gets done too early if I turn it on when I leave for work). Charly wouldn't wait for the Yorkshire puddings in the oven, so I dished carrots, potatoes and roast beef up for her to start eating without us. She finished up her carrots and potatoes, handed me her plate and asked for more. She also told me to put gravy on her roast. I put the gravy on her roast, gave her more veggies, and she started crying. Apparently "roast" was her potatoes, NOT the meat.
She cried for 10 minutes. Even though I quickly made her an entirely new plate of food, prepared like she wanted it, she kept crying. She said she didn't know why she was crying. I do! Steroids! She calmed down enough to demand I give back the potatoes and carrots that were on her old plate. A disturbing physical reaction that Charlotte has developed from the first week of chemo is that she turns bright blotchy red when she's upset. It looks like she is having an allergic reaction and is breaking out in hives. Along with being disturbing, it's a little fascinating. If any of you happen to witness this phenomena, I would say you shouldn't worry, it goes away when she stops being anxious. After she calmed down, she ate her dinner and climbed in my lap. She was a little tired so she sat in our bed with Sean, reading some books while Naomi and I cleared up dinner. An hour later, she demanded Triscuits. It looks like Charlotte will be doing pretty good for Christmas, maybe just a little tired and a lot hungry.
Charlotte was starving when she got home. She's back on steroids this week, and the nurses told Sean that we will need to feed her high calorie meals. I prepared a roast for the crockpot the night before and had it ready for Sean to put it in the crockpot in the morning (it gets done too early if I turn it on when I leave for work). Charly wouldn't wait for the Yorkshire puddings in the oven, so I dished carrots, potatoes and roast beef up for her to start eating without us. She finished up her carrots and potatoes, handed me her plate and asked for more. She also told me to put gravy on her roast. I put the gravy on her roast, gave her more veggies, and she started crying. Apparently "roast" was her potatoes, NOT the meat.
She cried for 10 minutes. Even though I quickly made her an entirely new plate of food, prepared like she wanted it, she kept crying. She said she didn't know why she was crying. I do! Steroids! She calmed down enough to demand I give back the potatoes and carrots that were on her old plate. A disturbing physical reaction that Charlotte has developed from the first week of chemo is that she turns bright blotchy red when she's upset. It looks like she is having an allergic reaction and is breaking out in hives. Along with being disturbing, it's a little fascinating. If any of you happen to witness this phenomena, I would say you shouldn't worry, it goes away when she stops being anxious. After she calmed down, she ate her dinner and climbed in my lap. She was a little tired so she sat in our bed with Sean, reading some books while Naomi and I cleared up dinner. An hour later, she demanded Triscuits. It looks like Charlotte will be doing pretty good for Christmas, maybe just a little tired and a lot hungry.
Thursday, December 13, 2012
Looking Good!
Today, Charlotte had her third chemo appointment in one week. Since it was a 2:00 appointment, and I had a work errand to run in Salt Lake, I took Charly to Primary's for her appointment.
First, Charly demanded we stop at McDonald's for a Big Mac, since she was STARVING! Sean overheard this and protested that he fed her a peanut butter sandwich less than an hour before. Charly glanced over her shoulder to inform him that was just a snack, and NOT her lunch. So on the way up, we got her a Big Mac. When she heard me order a kids meal too, she started shouting and crying from the back seat - NO, Mom! I wanted a Big Mac and they don't come in kids meals! I turn around and see tears streaming from her eyes. After I explained that the kids meal was for me, and that I bought her a Big Mac, she calmed down. Steroids. Thankfully, her last dose for a week was today.
Charlotte happily munched on her Big Mac while I drove up to the See's Candy outlet. Every year, my work gets thank you gifts of chocolates to our key contacts. I love to volunteer to pick up the candy. In year's past, I would always get a certificate at the discounted price and then go to a regular See's chocolate shop so I could bring a custom-packed 1-pound box of chocolate-covered cherries and the cherry nougat chocolates to my dad for Christmas. Even though dad is gone, I like to go up and get a couple treats. We added a 2-lb box of chocolates for the staff at the oncology clinic to our purchase, and Charlotte gave me "the look". I told her she could pick something out for herself. I thought she'd snag one of those candy canes with a penguin puppet on top, but she immediately beelined to a golden bag of chocolate covered coins. We paid for our order, loaded 200 pounds of chocolate into my car, and headed up to Primary Children's.
Charlotte received a cocktail of 2 different chemo drugs today. The same ones she received last Thursday. Her cold seems to be improving, and her doctor says her levels look awesome! They warned me again that they WILL drop significantly later in the month, but for now she is to have no restrictions. They also said this chemo would make her hair fall out. So Charly is going to lose her all the little fuzz she just grew. After this, then she will be done with the meds that cause her hair to fall out. Her next appointment is next Thursday, and I think it's the last one for the month. She'll have nothing until January 3rd, where she starts her next phase. As always, it starts with a lumbar puncture. They will be returning to the Methotrexate, and we will see if she will tolerate it without seizures.
I asked about the family Christmas party on Saturday, and the oncologist said if she feels up to it, she can go. While she was getting her chemo, Charlotte painted a wooden donkey. It happily consumed the 90 minutes we were there. A child life specialist approached me and asked about how many siblings Charlotte had. I told her about Naomi, and she said they received a large donation of pajamas for the patient's siblings, because many siblings feel forgotten and left out. She gave me a pair of Carters cupcake pajamas for Naomi. They were very cute, but I wondered if they would fit. When Naomi received them she decided to wear them to bed that night. They fit on the pants, but her arms are little long. Naomi was still pleased to be thought of.
Charlotte and I were done by 5pm, and heading home. She asked if we could stop by a drive through for dinner, but I didn't want to do two fast food meals in one day. I texted Sean and told him to take Naomi out for dinner tonight, and Charlotte and I invited ourselves to dinner at my mom's house because she said she was baking bread. We enjoyed fresh baked bread and a bowl of soup for dinner and chatted with mom for an hour. When we got home, Sean and Naomi were just returning from a shopping trip to Walmart and dinner at Paradise Cafe. The evening ended with a couple chapters of Pippi Longstocking and a request for a couple slices of bacon before she brushed her teeth. Overall, I would consider it a successful day.
First, Charly demanded we stop at McDonald's for a Big Mac, since she was STARVING! Sean overheard this and protested that he fed her a peanut butter sandwich less than an hour before. Charly glanced over her shoulder to inform him that was just a snack, and NOT her lunch. So on the way up, we got her a Big Mac. When she heard me order a kids meal too, she started shouting and crying from the back seat - NO, Mom! I wanted a Big Mac and they don't come in kids meals! I turn around and see tears streaming from her eyes. After I explained that the kids meal was for me, and that I bought her a Big Mac, she calmed down. Steroids. Thankfully, her last dose for a week was today.
Charlotte happily munched on her Big Mac while I drove up to the See's Candy outlet. Every year, my work gets thank you gifts of chocolates to our key contacts. I love to volunteer to pick up the candy. In year's past, I would always get a certificate at the discounted price and then go to a regular See's chocolate shop so I could bring a custom-packed 1-pound box of chocolate-covered cherries and the cherry nougat chocolates to my dad for Christmas. Even though dad is gone, I like to go up and get a couple treats. We added a 2-lb box of chocolates for the staff at the oncology clinic to our purchase, and Charlotte gave me "the look". I told her she could pick something out for herself. I thought she'd snag one of those candy canes with a penguin puppet on top, but she immediately beelined to a golden bag of chocolate covered coins. We paid for our order, loaded 200 pounds of chocolate into my car, and headed up to Primary Children's.
Charlotte received a cocktail of 2 different chemo drugs today. The same ones she received last Thursday. Her cold seems to be improving, and her doctor says her levels look awesome! They warned me again that they WILL drop significantly later in the month, but for now she is to have no restrictions. They also said this chemo would make her hair fall out. So Charly is going to lose her all the little fuzz she just grew. After this, then she will be done with the meds that cause her hair to fall out. Her next appointment is next Thursday, and I think it's the last one for the month. She'll have nothing until January 3rd, where she starts her next phase. As always, it starts with a lumbar puncture. They will be returning to the Methotrexate, and we will see if she will tolerate it without seizures.
I asked about the family Christmas party on Saturday, and the oncologist said if she feels up to it, she can go. While she was getting her chemo, Charlotte painted a wooden donkey. It happily consumed the 90 minutes we were there. A child life specialist approached me and asked about how many siblings Charlotte had. I told her about Naomi, and she said they received a large donation of pajamas for the patient's siblings, because many siblings feel forgotten and left out. She gave me a pair of Carters cupcake pajamas for Naomi. They were very cute, but I wondered if they would fit. When Naomi received them she decided to wear them to bed that night. They fit on the pants, but her arms are little long. Naomi was still pleased to be thought of.
Charlotte and I were done by 5pm, and heading home. She asked if we could stop by a drive through for dinner, but I didn't want to do two fast food meals in one day. I texted Sean and told him to take Naomi out for dinner tonight, and Charlotte and I invited ourselves to dinner at my mom's house because she said she was baking bread. We enjoyed fresh baked bread and a bowl of soup for dinner and chatted with mom for an hour. When we got home, Sean and Naomi were just returning from a shopping trip to Walmart and dinner at Paradise Cafe. The evening ended with a couple chapters of Pippi Longstocking and a request for a couple slices of bacon before she brushed her teeth. Overall, I would consider it a successful day.
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